Knowledge Library

Discharged Patient with Pending Test Results

This case study was made available to MIEC through our partnership with CRICO. It was written by Kristin O’Reilly, RN, BSN, MPH, CRICO Description A 68-year-old male suffered from septic shock after being discharged from an inpatient setting before any action was taken on a critical lab result. Key Lessons Closed loop communication to the care team for all critical results is crucial to the safe care of patients. Review of pending or outstanding labs with a patient prior to their discharge is necessary to ensure appropriate follow up and symptom monitoring. Clinical Sequence Day 1: A 68-year-old male was...

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Delayed Breast Cancer Diagnosis after Insufficient Follow-Up

This case study was made available to MIEC through our partnership with CRICO. It was written by Kristin O’Reilly, RN, BSN, MPH, CRICO Description A 38-year-old patient had a delayed diagnosis of breast cancer resulting in an increased tumor size and advanced staging at the time of diagnosis progressing from Stage 1 to Stage 2. Key Lesson Adhering to national standards and internal policies and procedures is imperative to ensuring the timely diagnosis of cancer. Clinical Sequence A 38-year-old presented to her primary care provider (PCP) with concern for a palpable breast lump. The PCP noted the presence of the...

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